Puryear, John Wade
Puryear, John Wade is an sole proprietor health care provider with primary practice located at 10202 Donegal Pl , Chesterfield VA 23832-3753. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Puryear, John Wade can be contacted via phone (804) 631-3255.Contact Information
Primary practice address
10202 Donegal Pl
Chesterfield VA 23832-3753
Phone: (804) 631-3255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701008483 | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701008483 | Virginia |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 0701008483 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701008483 | Virginia |
Profile Details
| NPI number | 1497308274 |
|---|---|
| LBN Legal business name | Puryear, John Wade |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2019 |
| Last updated | Jul 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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